Marie Dusch, MD
Surgery of the Hand · Santa Maria, CANPI 1659753911
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (40.3%), education and food and beverage — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Arthrex at 27.0% of the total. Among surgery of the hand clinicians in CA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 70 payments — averaging $162.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Skeletal Dynamics Inc$2K
- Sonex Health, Inc.$1K
- Acumed LLC$1K
- Gotham Surgical Solutions & Devices, Inc.$1K
- Medartis Inc.$1K
- plus $2K from 11 others
What the payments were for
- Travel & lodging$4,59640%
- Food & beverage$3,39130%
- Education$3,41730%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Arthrex | 19 | $3,073 |
| Skeletal Dynamics Inc | 4 | $1,735 |
| Sonex Health, Inc. | 18 | $1,496 |
| Acumed LLC | 5 | $1,242 |
| Gotham Surgical Solutions & Devices, Inc. | 1 | $1,200 |
| Medartis Inc. | 2 | $1,086 |
| Cornerstone Medical Associates, Inc. | 2 | $641 |
| Biotissue Holdings Inc. | 2 | $157 |
| Si-bone, Inc. | 1 | $148 |
| Medical Device Business Services, Inc. | 1 | $125 |
| Genentech USA, Inc. | 1 | $114 |
| Stryker | 1 | $110 |
| Smith+Nephew | 3 | $75 |
| Endo Pharmaceuticals Inc. | 4 | $67 |
| Axogen | 2 | $65 |
| Endo USA, Inc. | 3 | $49 |
| Johnson & Johnson | 1 | $20 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Geminus$1,735
- Align$1,735
- IJS$1,735
- Implate$1,735
- Sx-One Microknife$1,174
- APTUS$1,053
- Acu-Loc Wrist Plating System$1,015
- Acutrak Headless Compression Screw System$1,015
- Hand Fracture System$1,015
- Osteotomy System$388
- iFuse Implant$148
- Clavicle Plating System$127
- Anatomic Radial Head System$127
- Elbow Plating System$127
- NONE$110
How this compares
$11,404 in reported general payments places this provider in the 90th percentile of 76 surgery of the hand providers in California.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Meloxicam | 148 | $689 |
| Methylprednisolone | 36 | $249 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 37 | $169 |
| Tramadol Hcl | 20 | $28 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 11 | $25 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Santa Maria
- Bauback SafaSan Francisco$172K
- Emily Perezla Mirada$56K
- Joshua GluckVentura$26K
- Howard SutkinLos Gatos$22K
- Aaron BergerOakland$14K
- Nicole ConklingOrange$14K
- Andre IshakOxnard$11K
- Alfonso CamberosSan Diego$10K
- James ColemanOrange$9K
- Grant SeidenOceanside$9K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.